Fella Health vs Sesame Care: Which GLP-1 Program Is Better? (2026)
A detailed side-by-side comparison of Fella Health and Sesame Care to help you choose the right GLP-1 weight loss program based on pricing, medications, medical support, and more.
Quick Verdict
We recommend Sesame Care
Between these two providers, Sesame Care is our pick for most users. It offers a higher overall rating (7.2 vs 6), availability in all 50 states, insurance acceptance, both brand-name and compounded medication options. That said, Fella Health may be the better fit if you are looking for men who want a men-focused weight loss program with a money-back guarantee.
Sesame Care scores 7.2/10 in our independent evaluation at $225/month, while Fella Health scores 6/10 at $165/month. Both programs include a licensed physician consultation and ship medication directly to your door. Sesame Care accepts insurance, which can significantly reduce costs. Sesame Care also offers oral GLP-1 options for patients who prefer pills over injections. Our rating considers five factors: safety and medical oversight (30%), pricing transparency (25%), cost value (20%), clinical support quality (15%), and onboarding speed (10%). This comparison was independently produced — neither provider pays for placement or higher ratings. Prices verified April 2026.
Side-by-Side Comparison
| Feature | Fella Health | Sesame Care |
|---|---|---|
| Monthly Price | $165 | $225 |
| Rating | 6 / 10 | 7.2 / 10 |
| Medication Type | Compounded Only | Brand & Compounded |
| Insurance Accepted | No | Yes |
| States Available | 35 states | All 50 states |
| Consultation Fee | Included | $25-75 |
| Shipping | Free Shipping | Paid |
| Cancel Anytime | Yes | Yes |
| Medical Support | Licensed physicians, health coaching, lab work | Licensed physicians, per-visit model |
Prices reflect starting rates without insurance. Actual costs may vary by plan and medication. Last updated April 2026.
Fella Health: Detailed Look
Fella Health
The medication weight loss program for men with a 6-month money-back guarantee
Pros
- 6-month money-back guarantee — full refund if <5% body weight lost
- No dose-based price increases as your dosage goes up
- Includes lab work, coaching, and medical oversight in plan price
- Average members report 10.4% body weight loss by month 6
Cons
- Limited state availability — not available in all 50 states
- Recent complaints about drug shortages and shipping delays
Men who want a men-focused weight loss program with a money-back guarantee
Sesame Care: Detailed Look
Sesame Care
Affordable telehealth marketplace connecting patients with doctors from $25
Pros
- Lowest consultation cost — visits from just $25
- Prescribes brand-name FDA-approved medications
- Transparent per-visit pricing with no subscriptions
- Wide network of licensed physicians across all 50 states
Cons
- Medication cost is separate and not included in visit fee
- No compounded options — brand-name only (higher drug cost)
Users with insurance who want cheap doctor visits — medication costs are separate and not included
Which Should You Choose?
The right choice depends on your specific needs and priorities. Here is a quick decision framework:
Go with Fella Health at $165/month. $165/mo semaglutide, $399/mo tirzepatide on 3-month plan.
Sesame Care has the edge with a 7.2 rating.
Sesame Care accepts insurance, which can significantly reduce your out-of-pocket cost.
Fella Health focuses on compounded medications at a lower price point.
Compare their support: Fella Health offers licensed physicians, health coaching, lab work, while Sesame Care provides licensed physicians, per-visit model.
Sesame Care at $225/month may offer features that justify the premium.
Frequently Asked Questions
Is Fella Health better than Sesame Care?
Fella Health has a 6 rating while Sesame Care has a 7.2 rating. The better choice depends on your priorities — Fella Health is best for men who want a men-focused weight loss program with a money-back guarantee, while Sesame Care is best for users with insurance who want cheap doctor visits — medication costs are separate and not included.
How much does Fella Health cost compared to Sesame Care?
Fella Health starts at $165/month ($165/mo semaglutide, $399/mo tirzepatide on 3-month plan), while Sesame Care starts at $225/month ($25-75 per visit + medication at pharmacy prices ($200-1,400/mo). total starting cost ~$225/mo with insurance savings cards. medication not included in visit fee.).
Do Fella Health and Sesame Care accept insurance?
Fella Health does not accept insurance. Sesame Care accepts insurance.
Which GLP-1 medications does Fella Health offer vs Sesame Care?
Fella Health offers Compounded Semaglutide, Compounded Tirzepatide. Sesame Care offers Ozempic, Wegovy, Mounjaro, Zepbound, Rybelsus.
Can I cancel Fella Health or Sesame Care at any time?
Fella Health allows cancel anytime. Sesame Care also allows cancel anytime.
Are Fella Health and Sesame Care available in my state?
Fella Health is available in 35 states. Sesame Care is available in all 50 states.